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Update on Nurse Practice Act - APRN Full Practice Authority

Monday, January 8, 2018   (2 Comments)
Posted by: Susan Swart

We attended the Board of Nursing meeting last week and here is what we know thus far. 

  • The rules for the APRNs section are currently being developed by the staff at IDFPR.  The proposed rules are scheduled to be published for public comment sometime in February.  Sue Clark, Debbie Broadfield, and I have been working with IDFPR to insure the intent behind the language in the bill is understood. 
  • The rules for the remainder of the act will be worked on next and should proceed through the rules process sometime this summer. 
  • No one can apply for Full Practice Authority until the rules process is completed.  This could take 6-9 months from the effective date.
  • The attestation form necessary for attesting to the 4000 hrs of practice and the 250 hrs of CE and training will be developed and distributed by IDFPR.  
  • An APRN who applies for Full Practice Authority will have a license # that begins with 309. 
  • An APRN with FPA who prescribes controlled substances will need to apply for a controlled substance license, not a mid-level CLS (that license number will begin with 310.


Our role will be to respond as they are posting the rules.  ISAPN and ANA-Illinois will be working with our partners in the Illinois Coalition of Nursing Organizations (ICNO) to develop a coordinated response.  The proposed rules will be posted for two 45-day comment periods.  

First Notice
The First Notice period starts when the Board of Nursing publishes Notice of Rulemaking in the Illinois Register. First Notice lasts a minimum of 45 days and stops when the agency files with JCAR, beginning the Second Notice period. The only limitation is that a rulemaking expires if not adopted within 1 year from the start of First Notice.

Second Notice
The Second Notice period begins when the Board of Nursing files Second Notice with JCAR and lasts for a maximum of 45 days (may be extended for an additional 45 days by mutual agreement). During this period, legislative review of the rules is conducted first by the JCAR staff and then at a meeting of the legislative members. When the rulemaking goes to Second Notice, JCAR will receive a copy or summary of all the written comments submitted to the Board of Nursing.

Posted rules can be reviewed in two ways:
Illinois Register
Flinn Report


Deb Myers says...
Posted Sunday, August 26, 2018
Why is my hospital refusing hospital privileges to FNPs?
Deb Myers says...
Posted Sunday, August 26, 2018
Why is my hospital refusing hospital privileges to FNPs?


Illinois Society for Advanced Practice Nursing
P.O. Box 636
Manteno, IL 60950